Ms Kim Renee Pulliam, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Owingsville, Kentucky. Her current practice location is
44 Water St, Owingsville, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(606) 674-9776.
Ms Kim Renee Pulliam is licensed to practice in Kentucky (license number 3514) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1215353081.
Healthcare Provider's Profile
| Full Name | Ms Kim Renee Pulliam |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 44 Water St, Owingsville, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1215353081
- Provider Enumeration Date: 03/17/2014
- Last Update Date: 06/24/2016
Medicare PECOS Information:
- PECOS PAC ID: 2961793989
- Enrollment ID: I20160622002286
Medical Identifiers
Medical identifiers for Ms Kim Renee Pulliam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215353081 | NPI | - | NPPES |
| 7100331190 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 3514 (Kentucky) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Kim Renee Pulliam allows following entities to bill medicare on her behalf.
| Entity Name | Sterling Health Solutions Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366790099
PECOS PAC ID: 9436301686
Enrollment ID: O20121214000279 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Kim Renee Pulliam is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Kim Renee Pulliam, LCSW
44 Water St,
Owingsville, KY 40360-8944
Ph: (606) 674-9776 | Ms Kim Renee Pulliam, LCSW
44 Water St,
Owingsville, KY 40360-8944
Ph: (606) 674-9776 |
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